ATI RN
Monitoring Baby During Labour Questions
Question 1 of 5
A patient with a history of hypertension is admitted to the labor and delivery unit. Which of the following is most important to monitor for during labor?
Correct Answer: C
Rationale: The correct answer is C: Preeclampsia. Preeclampsia is a serious condition characterized by high blood pressure and protein in the urine, which can lead to complications for both the mother and baby during labor. Monitoring for signs of preeclampsia is crucial to ensure timely intervention and prevent adverse outcomes. A: Hypotension is not typically a major concern in a patient with a history of hypertension during labor. B: Precipitous delivery refers to an unusually fast labor, which can be managed but is not the most important issue to monitor for in this case. D: Increased bleeding risk may be a concern, but preeclampsia poses a more immediate threat to the patient's health and requires closer monitoring.
Question 2 of 5
A woman in labor is receiving magnesium sulfate for preterm labor. What should the nurse monitor closely during this treatment?
Correct Answer: A
Rationale: The correct answer is A: Deep tendon reflexes. Magnesium sulfate can cause muscle weakness and respiratory depression due to its effect on the central nervous system. Monitoring deep tendon reflexes helps assess for magnesium toxicity. Respiratory rate (B) should also be monitored, but it is not the most critical parameter for magnesium sulfate. Maternal blood pressure (C) is important, but changes are usually gradual and not directly related to magnesium sulfate. Fetal heart rate (D) is crucial, but in this case, the focus should be on the mother's response to the medication.
Question 3 of 5
A 34-week pregnant woman presents with a non-reactive nonstress test (NST). What should the nurse do next?
Correct Answer: B
Rationale: The correct answer is B: Perform a biophysical profile (BPP). A non-reactive NST indicates fetal distress, so a BPP is necessary to assess the overall well-being of the fetus. BPP evaluates fetal breathing movements, fetal movements, fetal tone, amniotic fluid volume, and NST results. Administering a tocolytic agent (A) is not indicated as the issue is fetal distress, not preterm labor. Monitoring the fetal heart rate for 30 minutes (C) may delay necessary intervention if fetal distress is present. Monitoring fetal heart rate (D) alone does not provide a comprehensive assessment of fetal well-being.
Question 4 of 5
A woman in labor is diagnosed with preeclampsia. What is the most important action for the nurse to take?
Correct Answer: C
Rationale: The correct answer is C: Administer magnesium sulfate to prevent seizures. This is the most important action because preeclampsia can lead to eclampsia, which is characterized by seizures. Magnesium sulfate is the first-line treatment to prevent seizures in preeclamptic patients. Administering antihypertensive medications (A) may be necessary to control blood pressure, but preventing seizures takes precedence. Monitoring blood pressure (B) is important but not the most critical action. Performing an emergency cesarean section (D) may be necessary in severe cases but is not the initial priority.
Question 5 of 5
The nurse is providing education to a patient who has given birth to her first child and is being discharged home. The patient expressed concern regarding infant mortality and sudden infant death syndrome (SIDS). The patient had an uncomplicated pregnancy, labor, and vaginal delivery. She has a body mass index of 25 and has no other health conditions. The infant is healthy and was delivered full-term. What will be most helpful thing to explain to the patient?
Correct Answer: D
Rationale: The correct answer is D: The Safe to Sleep campaign. The campaign educates parents on safe sleep practices to reduce the risk of SIDS. In this scenario, the patient's concerns regarding infant mortality and SIDS can be addressed by providing information on safe sleep practices. Choices A and B are not relevant to the patient's concerns as they pertain to advanced medical therapies. Choice C, Baby-Friendly Hospital Initiative, focuses on promoting breastfeeding support and practices, which is not directly related to addressing the patient's concerns about infant mortality and SIDS.